老年人胃癌65例手术治疗分析

Clinical analysis of 65 cases of elderly patients with gastric carcinoma

目的探讨老年胃癌手术治疗的临床效果。方法回顾性分析2002年10月至2007年9月收治的65例老年胃癌患者手术治疗的临床资料。结果本组26例患者术后发生各种并发症34例次，其中切口裂开5例次，吻合口漏2例次，十二指肠残端漏1例次，残胃功能障碍1例次，心力衰竭11例次，肺部感染14例次，尿路感染3例次，腹腔感染2例次，肠梗阻2例次；术后死亡1例。结论早、中期老年胃癌应行根治性切除，同时积极预防和治疗并发症。

Objective To explore the clinical analysis of 65 eases of elderly patients with gastric carcinoma. Methods The clinical data of 65 cases of elderly patients with gastric carcinoma from October 2002 to September 2007 were analyzed retrospectively. Results 34 cases took place a varicty of complications in this group of 26 cases of patients,and they are 5 cases of incision dehiscencc,2 cases of anastomotic leakage, 1 cases of duodenal stump leakage,1 cases of gastric dysfunction, 11 cases of heart failure, 14 cases of lung infection ,3 cases of urinary tractin- fection, two case of intra-abdominal infection, two cases of intestinal obstruction, 1 case of postoperative died. Conclu- sion As early as mid-term elderly gastric cancer should be perfrmed radical resection, at thc same time, prevent and treat complications actively.